HomeMy WebLinkAboutPermit Building 1997-10-8 (2)
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971288
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6892 FORSYTHIA ST
Assessors Map #: 18020222
Lot: 11 Block: 4
Tax Lot #: 05700
Subdivision: CASCADE HGHTS 1
Owner: DENNIS MINIUM
Address: 8745 THURSTON ROAD
Phone #: 747-8495
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
Generaf: MINIUM 0062682 12/11/97 747-8495
8745 Thurston Rd Springfield OR 974
Plumbing: DON LEWIS 0033076 06/10/98 688-1931
500 Greenfield St Eugene OR 9740416
Mechanical: MARSHALLS 0025790 12/23/97 747-7445
4131 E St Springfield OR 974780000
Electrical: ANTONE 0082835 05/19/98 688-4444
27514 Snyder Rd Junction City OR 97
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2255
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
To request an inspection, call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
POST AND BEAM - Prior to floor insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH PLUMBING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRINOFIELD
.
~-
Job Number: 971288
Page 2
Lot Faces: E
Solar Approved: Y
Total Height: 29
Lot Type: INTERIOR
Setbacks
S W E
15 35 15
15
Setbk From NPL: 37
N
House 22
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1830
425
$/Square Feet
64.66
16.27
Value
118,328.00
6,915.00
125,243.00
Building Permit Fee
Surcharge/Admin
491. 50
39.33
TOTAL FEE
(A)
530.83
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
6.00
4.50
9.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
22.50
10.00
1. 81
TOTAL PERMIT
(D)
34.31
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
SYS DEVEL CHARGES
WILLAMALANE SDC
ELECT PERMIT
0.00
24.25
14.80
319.48
2,312.39
1,000.00
183.60
TOTAL MISCELLANEOUS PERMITS
(E)
3,854.52
TOTAL AMOUNT DUE
(Excluding Electrical) (A, B, C, D, and E combined)
unless otherwise noted
tAI-IlJ ArLT ; 4,1(A()/UZ ,h5(AflT
4,627.57
!JeJ,H
~ 57Jrt
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
SPAINOFIELD
.
:t1'~'}N:(r:..}~
Job Number: 971288
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 10/02/97
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will rZ7~~all times during construction. / e:1 ,-);/ ,- '17
Signature
Date
--- VALIDATION
Date Paid:
:27(..,<:-
r6-o'6-Of7
4, (p~ 7. &57
'-K~
Receipt Number:
Amount Received:
Received By:
. .'
. . JOB NO ...;L7 II.. B a:.
A IT ACHMENT A .
CITY OF SPRINGFIELD .SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
neNN/~ HlllJru"h
LOCATION:
M'R97 /;::-nr;"'-<.Yr~A..
DEVELOPMENT TYPE:
S"FL
BUILDING SIZE
LOT SIlF
so. Ft.
1. .sTORM DRAINAGF
IMPERV IOUS SO. FT. 2.1')~6
2. SANITARY SFWFR-rITY
NO. OF PFU'S 27,
-
(See Reverse Side]
X $0.226 PER SO. FT. $ -4:J~ ,7~
X $46.86 PER PFU
LI 077~
/
3. JRANSPORT A Ti]!:!
.NO OF UNITS X TRIP RATE X COST PER TRIP
I . X 1.0 I X $472.49
$ 477,2-1
x
X $472.49
$
x
X $472.49
$
4. SANITARY SFWFR-MWMr
Qc)
NO. OF f8:f-S J X 277. 7"- PER FEU + $10 MWMC/ADM FEE $ 287,76
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - <JC;,Z~
TOTAL -MWMr SDr $' J fiR., SI
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2.2.or;2~
5. ADMINTSTRATlVF FFtS
BASE CHARGE (SUBTOTAL ABOVE) X .05
./9t,
$
liD,/{
Date: 9-/0-?Z-
SDC Coordinator
TOTAL SOr.
$ 2, ~/2.. ?'r
.
. ,.,^ I vne VI~" '-'J-H.,-,V""U'~ .......OLC; Numoer or New t-lx. X Unit Equivalent = Fixture Units
(NOTE: For remodels. calculate on'.e NET additional fixtures) ...
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub...................................... ................................
Drinking. Fountain............................ ........ ......... ........
Floor Drain... ........... ........................... ......... ..... ...... ....
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher ....... ... ...... ................ ....
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall........ ........ ... ..... .........................
Shower, Gang.. ...:........................... .... ............ .... .....
Sink: Bar, CommerCial. Residential Kitchen........................
Urinal, Stall/Wall.......................................................
Wash Basin/Lavatory, Single............. ..... ................
Toilet. Public Installation................ ........................
Toilet, Private................ ............ ...........................
Miscellaneous:
z..
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'3
.3
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
calculate. credits separates.
I
A-
2....
2-.
:3
/2-
.2...~
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
I
I
CJ."I6'f 1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
$3.az-.'
3.89
3.83
3.70
3.55
3.39
3.20
2.91
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
'0.45
0.31
0.17
=
99.2., .
Credit for Parcel or Land Only If Applicable
"3 "/7 X $ 2'i1t:JOl'I
(Rate X Assessed Value)
. X $
. (Rate X Assessed Value)
=
Improvement (if after annexation date)
CREDIT TOTAL = $ 99.7<:;::
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
FiesidemiaL..;.......................O.4
CommericaL........................ 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.~
.e
-
Job. No.
Q ~ \ '}56)(
..
SYSTEM DEVELOPMENT CHARGE
WORKSHEET .
NAME: \ ~~~ ~~ .. PHONE:'f\,- .~W
ADDRESS: ~rAC() ~ ~&TATE:~ZIP: Q14Tl
LOCATION OF PROPOSED BUILDING SITE: '..l+. .
Street Address: JdbC\ fL ~!tJ.tn) ~ II Q o.r
Plat Name:0n.~nru, t\~icW&x ~t Number: \ ~[)1DU1--06Jd)
1. DEVELOPMENT TYPI'O (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
I.
A. 0inn1p.-F8milv DP.t8r.hp.o
l Single Family home
. NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ _' (Xt) fV
B. ~Ip..-F~milv Att8r.hp.o
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmp.nt
NO. OF UNITS
X $692 per unit = $
D. Manufacturp.o Homp. Pa~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ .\DCD.OO
Rf
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~"~~e~m
City of Springfield
$
\ trf) ,00
I
I
Date